From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 25789

Case Details

VAERS ID:	25789 (history)
Form:	Version .0
Age:	1.5
Sex:	Female
Location:	Indiana

Vaccinated:	1990-07-27
Onset:	1990-08-04
Days after vaccination:	8
Submitted:	0000-00-00
Entered:	1990-08-29

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MMR II / MSD	14795 / -	- / IM

Administered by: Private Purchased by: Unknown
Symptoms: ANOREXIA, FEVER, RASH MAC PAP
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with MMR on 27JUL90 on 4AUG90 developed fever 101-104, very red & pronounced macular rash over trunk, abdomen & upper extremities, decreased appetite, refusing to eat per mom. Lasted til 10AUG90 when temp decreased & rash fad

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